Individual
ERIN ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
Mailing address
9083 MENTOR AVE, MENTOR, OH 44060-6462
(440) 255-0678
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
191788
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
195075
OH
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/02/2025
Last updated
02/02/2026
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